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Personal Protective Equipment Adherence in High-Risk Clinical Settings: Assessing Compliance, Patient Factors, and Training Impact

Author(s) Samaher I. Qaboli, Nouf F. ALanizi, Hayat M. Almussad, Nujoud A. Almousa, Bader H. Alanazi, Maram N. Alarjani, Haifa M. Alanazi, Somaiya H. Alshehri
Country Saudi Arabia
Abstract Background: Personal protective equipment (PPE) is essential for preventing healthcare-associated infections and ensuring the safety of healthcare workers (HCWs) in high-risk settings. However, adherence to PPE protocols varies across different hospital units and professional groups.
Objective: This study aimed to assess PPE compliance among HCWs in the ICU, COVID-19 Unit, and Operating Room (OR), analyze the impact of patient conditions on adherence, and evaluate the effectiveness of a structured training intervention.
Methods: A quantitative cross-sectional study was conducted in a tertiary hospital over three months. 250 HCWs, including physicians, nurses, paramedics, lab technicians, radiologists, and pharmacists, were assessed through direct observations, self-reported surveys, and compliance audits. A PPE training program was implemented, and compliance rates before and after training were compared using descriptive statistics and chi-square analysis.
Results: Baseline compliance rates varied across units:
• COVID-19 Unit (92%) had the highest adherence.
• ICU (85%) showed moderate compliance, with lower adherence among physicians and paramedics.
• OR (78%) had the lowest adherence due to procedural constraints.
Following training, compliance significantly improved:
• ICU: 94% (+9%)
• COVID-19 Unit: 97% (+5%)
• OR: 88% (+10%)
Nurses and radiologists consistently exhibited the highest adherence, while paramedics and pharmacists showed the most significant improvements.
Conclusion: The study confirms that structured PPE training interventions effectively enhance compliance, particularly in settings with initially lower adherence (e.g., OR). To sustain these improvements, hospitals should implement regular refresher training, ergonomic PPE enhancements, and real-time compliance monitoring.
Keywords PPE adherence, healthcare workers, infection control, ICU, COVID-19 unit, operating room, training intervention, compliance monitoring
Field Medical / Pharmacy
Published In Volume 15, Issue 1, January-March 2024
Published On 2024-01-09
Cite This Personal Protective Equipment Adherence in High-Risk Clinical Settings: Assessing Compliance, Patient Factors, and Training Impact - Samaher I. Qaboli, Nouf F. ALanizi, Hayat M. Almussad, Nujoud A. Almousa, Bader H. Alanazi, Maram N. Alarjani, Haifa M. Alanazi, Somaiya H. Alshehri - IJSAT Volume 15, Issue 1, January-March 2024. DOI 10.5281/zenodo.14772671
DOI https://doi.org/10.5281/zenodo.14772671
Short DOI https://doi.org/g83k7w
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